# CPT 40650: Repair lip, vermilion only

Medicare CPT 40650 pays $573.49 in a non-facility setting and $349.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $500.59 in Arkansas to $658.51 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/40650-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $573.49 |
| National facility | $349.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $658.51 | $394.89 |
| Alaska | $650.31 | $411.97 |
| California | $642.87 | $378.07 |
| New York | $638.07 | $388.41 |
| New Jersey | $635.38 | $383.40 |
| Washington | $630.80 | $375.68 |
| Massachusetts | $624.95 | $373.52 |
| Hawaii | $619.89 | $365.45 |
| Connecticut | $614.27 | $373.25 |
| Florida | $600.83 | $376.30 |
| Colorado | $596.04 | $357.93 |
| Maryland | $595.19 | $361.89 |
| Oregon | $589.53 | $353.77 |
| New Hampshire | $587.41 | $354.45 |
| Rhode Island | $586.83 | $355.66 |
| Illinois | $584.61 | $368.37 |
| Puerto Rico | $577.73 | $351.49 |
| Virgin Islands | $577.73 | $351.49 |
| Montana | $573.44 | $349.65 |
| Nevada | $569.34 | $345.33 |
| Pennsylvania | $567.83 | $348.63 |
| Minnesota | $566.47 | $336.20 |
| Wyoming | $566.37 | $342.59 |
| Delaware | $566.27 | $345.17 |
| Texas | $565.67 | $345.35 |
| Georgia | $559.61 | $346.12 |
| Michigan | $558.86 | $348.73 |
| Virginia | $558.25 | $338.27 |
| North Dakota | $557.22 | $333.44 |
| Arizona | $556.44 | $339.59 |
| Vermont | $555.73 | $334.19 |
| South Dakota | $555.31 | $331.52 |
| Utah | $545.33 | $334.97 |
| Maine | $544.44 | $330.62 |
| New Mexico | $543.90 | $338.69 |
| Missouri | $538.25 | $332.89 |
| Louisiana | $537.99 | $333.68 |
| South Carolina | $537.25 | $330.47 |
| Ohio | $536.92 | $332.61 |
| Wisconsin | $536.78 | $322.39 |
| North Carolina | $535.27 | $326.48 |
| West Virginia | $529.90 | $335.43 |
| Indiana | $528.55 | $321.10 |
| Idaho | $525.23 | $319.35 |
| Kentucky | $524.23 | $325.28 |
| Nebraska | $523.90 | $317.34 |
| Tennessee | $522.33 | $318.91 |
| Oklahoma | $522.14 | $322.30 |
| Iowa | $521.04 | $316.27 |
| Kansas | $519.31 | $317.01 |
| Alabama | $508.75 | $312.94 |
| Mississippi | $507.57 | $314.89 |
| Arkansas | $500.59 | $308.36 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule
- 42825: Tonsillectomy alone, under age 12 — https://www.med-reveal.com/rates/42825-cpt-fee-schedule

Commercial negotiated rates for 40650 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules